Deisy Mendez Barragan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

675 W Oakland Ave SPC E2
Hemet, CA 92543-2857

Phone

(760) 300-7691

NPI assigned

Feb 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1477208304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24081 SANDY GLADE AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925575529",
            "telephone_number": "951-525-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W OAKLAND AVE SPC E2",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432857",
            "telephone_number": "760-300-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ BARRAGAN",
        "first_name": "DEISY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay Pravin Mehta, PHARMD
• Vanesa Mejia
• Victor N/a Mejia I
• Anthony Paul Melanson, RRW
• Mellie
• Angel Villalobos Mendez
• Jessyca Mendez
• Evelyn Mendoza, M.D.
• Julia Carolina Mendoza, LMFT
• Adeline Aranaydo Menendez

• Behavior Technician in Hemet, CA
• Providers in Hemet, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.